Deidre Martin
NPI #1730641218 in Greenville, South Carolina
Provider Information
- NPI Number
- 1730641218
- Entity Type
- Individual
- Name
- Deidre Martin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Apr 3, 2019
Practice Location
- Address
- 117 MANLY ST
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29601-3024
- Phone
- (864) 569-9995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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